Individual
SHELLY ANNE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5670 PEACHTREE DUNWOODY RD STE 1110, ATLANTA, GA 30342-1699
(404) 851-2300
(404) 874-1249
Mailing address
5670 PEACHTREE DUNWOODY RD, SUITE 1100, ATLANTA, GA 30342-1699
(404) 851-2300
(404) 851-2357
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6867
GA
363AM0700X
Medical Physician Assistant
Primary
006867
GA
Other
Enumeration date
05/24/2013
Last updated
03/25/2024
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